Abigail Freeman, BA

Individual provider Active NPI Case Manager/Care Coordinator · Russellville, KY

NPI 1831476266 · NPPES record last updated Nov 14, 2011

Key facts

NPI
1831476266
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
237 E 6TH St
Russellville, KY 42276-1917
Phone
(270) 901-5000
Fax
(270) 726-3115
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. Past
since May 15, 2000
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

237 E 6TH St
Russellville, KY 42276-1917

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone (270) 901-5000

Other identifiers

IdentifierTypeStateIssuer
30604011MedicaidKY

Other providers in Russellville, KY

All providers in Russellville, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.